CROSS-REFERENCE TO RELATED APPLICATIONS
FIELD OF THE DISCLOSURE
[0002] The present disclosure relates generally to a medical device. More particularly,
the present disclosure is related to a moisture removal and condensation and humidity
management apparatus for a breathing circuit.
BACKGROUND
[0003] A breathing circuit delivers medical gas to a patient under pressure in a prescribed
volume and breathing rate. The medical gas is often humidified by a humidifier located
at or near the ventilator or respirator. The optimum respiratory circuit delivers
100% RH medical gases to the patient while reducing the amount of humidity and subsequent
condensate delivered back to the ventilator through the expiratory limb. Therefore,
the humidified gas has to travel through all or most of the tubing and has time to
cool. Cooling of the gas leads to rainout or condensation in the breathing tube and
collection of water within the breathing circuit. It is known that excessive condensate
entering a device, such as a ventilator or respirator, from the expiratory limb of
a respiratory circuit can harm the device.
[0004] Several possible solutions to the problem of rainout have been developed. One such
proposed solution is a heating wire provided along the length of the breathing tube.
The wire heats the humidified gas traveling through the tubing to prevent the gas
from cooling, thus preventing the problem of water condensing out of the gas traveling
through the breathing circuit. The thermal output from such a heating wire is usually
achieved by imposing an electrical current in the wire so that the generated heat
is released to the flow of gas, such as by convection.
[0005] Conventional heating wires are typically straight and extend along the length of
the breathing tube so that uniform heating of the gas can be achieved. Coiled heating
wires which are spirally wound around the breathing tube along its length are also
commonly used to achieve uniform heating of the gas. However, such breathing circuit
configurations that have an even heating distribution across the circuit, or breathing
circuit configurations that have a higher temperature at an upstream end, can lead
to rain out and condensation accumulation in the ventilator.
[0006] Accordingly, it is desirable to provide an improved apparatus for removing or decreasing
water vapor, moisture, and/or condensate in a breathing circuit. It is further desirable
that the improved apparatus for removing water vapor, moisture and/or condensate from
the breathing tube, eliminates or reduces rain out and condensate in the ventilator,
thus protecting the device from damage. Further, there is a need to increase the capacity
for moisture removal and condensation management in a breathing circuit.
SUMMARY OF THE DISCLOSURE
[0007] The foregoing needs are met, to a great extent, by the present disclosure, wherein
a moisture removal and condensation and humidity management apparatus for a breathing
circuit arranged between a patient and a ventilator is provided. The apparatus may
include a breathing circuit tubing defining a breathing gas conduit and a dry gas
conduit adjacent at least a portion of the breathing gas conduit, the breathing gas
conduit configured to receive a flow of breathing gas having a first humidity level
and the dry gas conduit configured to receive a flow of dry gas having a second humidity
level lower than the first humidity level. The apparatus may also include at least
one heated wire having a length extending from an upstream end of the breathing circuit
tubing to a downstream end of the breathing circuit tubing, the at least one heated
wire configured to provide heat to the flow of breathing gas such that the breathing
gas at the downstream end is heated to a higher temperature than the breathing gas
at the upstream end. The apparatus may further include a moisture transmission pathway
between the breathing gas conduit and the dry gas conduit and configured to enable
transfer of moisture from the breathing gas to the dry gas based on a humidity differential
between the first and second humidity levels.
[0008] In one implementation of the disclosure, the moisture transmission pathway may comprise
a permeable membrane that is permeable to water vapor but impermeable to liquid water.
[0009] In another implementation of the disclosure, the permeable membrane may form a portion
of said breathing circuit tubing.
[0010] In another implementation of the disclosure, a portion of the heated wire may be
provided within the breathing gas conduit.
[0011] In another implementation of the disclosure, the heated wire may comprise two wire
strand portions connected to each other at the upstream end of the breathing circuit
tubing proximate to the patient.
[0012] In another implementation of the disclosure, a portion of the heated wire may be
folded back upon itself at the downstream end proximate to the ventilator.
[0013] In another implementation of the disclosure, the portion of the heated wire folded
back upon itself is generally S-shaped.
[0014] In another implementation of the disclosure, a portion of the heated wire may be
folded over itself at the downstream end of the breathing circuit tubing proximate
to the ventilator such that six wire strand portions are formed at the downstream
end.
[0015] In another implementation of the disclosure, the heated wire may comprise a variable
resistance such that a downstream portion of the heated wire can be heated more than
an upstream portion of the wire.
[0016] In another implementation of the disclosure, the heated wire may comprise coils having
a pitch spacing between adjacent coils at an upstream portion of the wire that are
different than a pitch spacing between adjacent coils at a downstream portion of the
wire.
[0017] In another implementation of the disclosure, the breathing circuit tubing may be
formed by an inner tube defining the breathing gas conduit, and the dry gas conduit
may be formed by an outer tube surrounding the inner tube, the dry gas conduit being
defined by an annular flow conduit defined between the inner tube and the outer tube.
[0018] In another implementation of the disclosure, the apparatus may further comprise a
dividing wall formed between the inner tube and the outer tube in the annular space
to divide the dry gas conduit into a delivery conduit for flow of dry gas from a first
end of the breathing circuit tubing to a second end of the breathing circuit tubing,
and a return conduit for flow of dry gas from the second end of the breathing circuit
tubing to the first end of the breathing circuit tubing.
[0019] In another implementation of the disclosure, a portion of the heated wire may be
provided within a lumen of the inner tube.
[0020] In another implementation of the disclosure, a portion of the heated wire may be
embedded within a wall of the inner tube.
[0021] In another implementation of the disclosure, the breathing circuit tubing may be
an expiratory limb of the breathing circuit such that the upstream end of the breathing
circuit tubing is located proximate to a patient and the downstream end of the breathing
circuit tubing is located proximate to the ventilator.
[0022] In another implementation of the disclosure, the apparatus may further comprise a
feeding conduit extending through at least a portion of the dry gas conduit, the feeding
conduit configured to supply the dry gas into the dry gas conduit.
[0023] In another implementation of the disclosure, the feeding conduit may include an inlet
at the downstream end of the breathing circuit tubing.
[0024] In another implementation of the disclosure, the apparatus may further comprise a
flow control element connected to the inlet of the feeding conduit and configured
to control the flow of the dry gas into the feeding conduit.
[0025] In another implementation of the disclosure, the feeding conduit may include an outlet
at the upstream end of the breathing circuit tubing.
[0026] In another implementation of the disclosure, a moisture removal and condensation
and humidity management apparatus for a breathing circuit arranged between a patient
and a ventilator is provided. The apparatus may comprise a breathing circuit tubing
defining a breathing gas conduit configured to receive a flow of breathing gas; a
moisture transmission pathway configured to enable transfer of moisture from the breathing
gas conduit to ambient air; and at least one heated wire having a length extending
from an upstream end of the breathing circuit tubing to a downstream end of the breathing
circuit tubing, the at least one heated wire configured to provide heat to the flow
of breathing gas such that the breathing gas at the downstream end is heated to a
higher temperature than the breathing gas at the upstream end.
[0027] In another implementation of the disclosure, the moisture transmission pathway may
comprise a permeable membrane that is permeable to water vapor but impermeable to
liquid water.
[0028] In another implementation of the disclosure, the permeable membrane may form a portion
of said breathing circuit tubing.
[0029] In another implementation of the disclosure, a portion of the heated wire may be
provided within the breathing gas conduit.
[0030] In another implementation of the disclosure, the heated wire may comprise two wire
strand portions connected to each other at the upstream end of the breathing circuit
tubing proximate to the patient.
[0031] In another implementation of the disclosure, a portion of the heated wire may be
folded back upon itself at the downstream end proximate to the ventilator.
[0032] In another implementation of the disclosure, the portion of the heated wire folded
back upon itself is generally S-shaped.
[0033] In another implementation of the disclosure, a portion of the heated wire may be
folded over itself at the downstream end of the breathing circuit tubing proximate
to the ventilator such that six wire strand portions are formed at the downstream
end.
[0034] In another implementation of the disclosure, the heated wire may comprise a variable
resistance such that a downstream portion of the heated wire can be heated more than
an upstream portion of the wire.
[0035] In another implementation of the disclosure, the heated wire may comprise coils having
a pitch spacing between adjacent coils at an upstream portion of the wire that are
different than a pitch spacing between adjacent coils at a downstream portion of the
wire.
[0036] In another implementation of the disclosure, the breathing circuit tubing may be
formed by a tube defining the breathing gas conduit.
[0037] In another implementation of the disclosure, a portion of the heated wire may be
provided within a lumen of the tube.
[0038] In another implementation of the disclosure, a portion of the heated wire may be
embedded within a wall of the tube.
[0039] In another implementation of the disclosure, the breathing circuit tubing may be
an expiratory limb of the breathing circuit such that the upstream end of the breathing
circuit tubing is located proximate to a patient and the downstream end of the breathing
circuit tubing is located proximate to the ventilator.
[0040] In another aspect of the disclosure, a method of removing moisture and controlling
condensation and humidity in a breathing circuit comprises providing a moisture removal
and condensation and humidity management apparatus; receiving the flow of breathing
gas from the patient into the breathing gas conduit of the breathing circuit tubing;
receiving the flow of dry gas having into the dry gas conduit of the breathing circuit
tubing for removing moisture from the breathing gas conduit; heating the at least
one heated wire having a portion provided in the breathing gas conduit such that the
flow of breathing gas at the downstream end of the breathing circuit tubing is heated
to a higher temperature than the flow of breathing gas at the upstream end of the
breathing circuit tubing thereby reducing or preventing condensation at the downstream
end proximate to a ventilator; transferring moisture from the breathing gas conduit
to the dry gas conduit through the moisture transmission pathway.
[0041] There has thus been outlined certain embodiments of the disclosure in order that
the detailed description thereof herein may be better understood, and in order that
the present contribution to the art may be better appreciated. There are additional
embodiments of the disclosure that will be described below and which form the subject
matter of the claims appended hereto.
[0042] In this respect, before explaining at least one embodiment of the disclosure in detail,
it is to be understood that the disclosure is not limited in its application to the
details of construction and to the arrangements of the components set forth in the
following description or illustrated in the drawings. The disclosure is capable of
embodiments in addition to those described and of being practiced and carried out
in various ways. Also, it is to be understood that the phraseology and terminology
employed herein, as well as the abstract, are for the purpose of description and should
not be regarded as limiting.
[0043] As such, those skilled in the art will appreciate that the conception upon which
this disclosure is based may readily be utilized as a basis for the designing of other
structures, methods and systems for carrying out the several purposes of the present
disclosure. It is important, therefore, that the claims be regarded as including such
equivalent constructions insofar as they do not depart from the spirit and scope of
the present disclosure.
BRIEF DESCRIPTION OF THE DRAWINGS
[0044]
FIG. 1 is a schematic view illustrating an apparatus in accordance with one or more
embodiments of the present disclosure incorporated into or as part of a breathing
gas circuit.
FIG. 2 is a schematic cross-sectional view illustrating the apparatus of FIG. 1 along
line 2-2.
FIG. 3 is a schematic cross-sectional view illustrating the apparatus of FIG. 1 in
one or more additional embodiments of the present disclosure.
FIG. 4 is a schematic cross-sectional view illustrating the apparatus of FIG. 1 in
one or more additional embodiments of the present disclosure.
FIG. 5 is a schematic view illustrating an apparatus in accordance with one or more
embodiments of the present disclosure that may be incorporated into or as part of
a breathing gas circuit.
FIG. 6 is a schematic cross-sectional view illustrating the apparatus of FIG. 5 along
line 6-6.
FIG. 7 is a schematic cross-sectional view illustrating the apparatus of FIG. 5 in
one or more additional embodiments of the present disclosure.
FIGS. 8A and 8B are perspective views of a heating element in accordance with one
or more embodiments of the apparatus of the present disclosure.
FIG. 9 is a perspective view of a limb of a breathing circuit including a heating
element in accordance with one or more additional embodiments of the present disclosure.
FIG. 10 is a top perspective cross-sectional view of the breathing circuit limb and
heating element of FIG. 9.
FIG. 11 is a top cross-sectional view of the breathing circuit limb and heating element
of FIG. 9.
FIG. 12 is a perspective view of a limb of a breathing circuit including a heating
element in accordance with one or more additional embodiments of the present disclosure.
DETAILED DESCRIPTION
[0045] The disclosure will now be described with reference to the drawing figures, in which
like parts are referred to with like reference numerals throughout. One or more embodiments
in accordance with the present disclosure provide a moisture removal and condensation
and humidity management apparatus for a breathing circuit to rapidly remove water
vapor or condensate from a humidified medical gas traveling through a breathing circuit
between a ventilator and a patient or the patient and the ventilator. As used herein,
a "breathing circuit" or "breathing gas circuit" is any arrangement of tubes or conduits
which carries gases to be administered to and from a patient, such as from a ventilator,
and which may include additional accessories or devices attached to it. Such "breathing
gases" may include oxygen, air or any component thereof, and are configured to absorb
high levels of moisture and/or to be humidified prior to administration to a patient,
or during administration to a patient, suitable for medical applications.
[0046] FIG. 1 is a schematic view illustrating an apparatus incorporated into or as part
of a breathing gas circuit in accordance with one or more implementations of the present
disclosure. A moisture removal and condensation and humidity management apparatus
10 for a breathing circuit includes a section or length of breathing circuit tubing
11 defining a breathing gas conduit 12 for a flow (B) of breathing gas therein. The
breathing gas flows from a first, upstream end 10A of the device 10, through the conduit
12 defined within device 10, to a second, downstream end 10B of the device 10. The
breathing gas is configured to have a first humidity level and a level of moisture
therein, which may be calibrated based on the needs of the patient. In one implementation,
such a length of breathing circuit tubing 11 may be in an expiratory limb of a breathing
circuit, such as, for example, between a patient and a ventilator.
[0047] In the device 10, a dry gas conduit 14 is defined adjacent at least a portion of
the breathing gas conduit 12 between the first end 10A and second end 10B, for a dry
gas flow (D) therein. The dry gas flow (D) is configured to have a second humidity
level which is lower than the first humidity level within the breathing gas conduit
(B). A dry gas flow is coupled from a dry gas source (not shown) to one or more input
ports 40 which feed the dry gas flow (D) into the dry gas conduit 14, which then flows
substantially parallel to, or around the breathing gas conduit 12. The dry gas conduit
14 further comprises one or more output ports 42 that may be in communication with
an ambient environment surrounding the apparatus 10. A source of suction may be connected
to the one or more output ports of the dry gas conduit. As shown in FIG. 1, the one
or more output ports 42 may be located at the downstream end of the breathing circuit
tubing 11. Further, each output or exit port 42 for the dry gas conduit may further
include a filter, the dry gas exiting via the exit port to the ambient environment
surrounding the apparatus. Such an exit port may also be connected to a source of
suction. An input port 40 for the dry gas conduit may include a flow or volumetric
control element for the dry gas flow.
[0048] The breathing circuit tubing 11 may comprise at least one heating element, such as
a heated wire 50. The heated wire 50 has a length extending from an upstream end 10A
of the breathing circuit tubing 11 to a downstream end 10B of the breathing circuit
tubing 11. The heated wire 50 is configured to provide heat to the flow of breathing
gas such that the breathing gas at the downstream end 10B of the breathing circuit
tubing 11 is superheated, or heated to a higher temperature than the breathing gas
at the upstream end 10A of the breathing circuit tubing 11. Thus, the heated wire
50 is configured to provide additional heating to the breathing gas at the downstream
end 10B proximate to a ventilator in an expiratory limb of the breathing circuit so
that excess condensation can be removed from the expiratory limb as well as from components,
such as the ventilator, that receive the flow of breathing gas after passing through
the expiratory limb. This configuration of the heating wire 50 reduces or eliminates
excessive condensation prior to the gases entering the ventilator or respirator.
[0049] The heated wire 50 comprises an upstream portion 52 corresponding to the upstream
end 10A of the breathing circuit tubing 11, and a downstream portion 54 corresponding
to the downstream end 10B of the breathing circuit tubing 11. The heated wire 50 may
be configured to have a variable thermal distribution profile in which the downstream
end 10B of the breathing circuit tubing 11 is heated more than the upstream end 10A
of the breathing circuit tubing 11. In some implementations, such a variable temperature
distribution, in which the downstream portion 54 of the heated wire 50 is superheated
relative to the upstream portion 52, may be achieved by folding the downstream portion
54 of the heated wire 50 back over itself. For instance, referring to FIG. 8A, the
folded-over downstream portion 54 of the heated wire 50 may be generally S-shaped
while the upstream portion 52 remains generally straight.
[0050] In other implementations, the heated wire 50 itself may have a variable resistance
such that the downstream portion 54 of the wire can be heated more than the upstream
portion 52 of the wire, thus resulting in a variable thermal distribution in which
the downstream end 10B of the breathing circuit tubing 11 is correspondingly heated
more than the upstream end 10A of the breathing circuit tubing 11. In still other
implementations, the heating element may be a coiled heated wire 50a, as shown in
FIG. 8B, wherein the pitch spacing between adjacent coils at the upstream portion
52a is different than the pitch spacing between adjacent coils at the downstream portion
54a. A variable thermal distribution of the coiled heated wire 50a may be achieved
by spacing adjacent coils closer to each other at the downstream portion 54a and spacing
adjacent coils farther from each other at the upstream portion 52a in order to superheat
the downstream portion 54a of the heated wire 50a relative to the upstream portion
52a. A portion of the coiled heated wire 50a may be provided within a lumen of the
tubing, or may be embedded within a wall of the tubing.
[0051] Referring again to FIG. 8A, the amount of folding of the downstream portion 54 of
the heated wire 50 can be configured to provide a desired temperature increase near
the ventilator end of the breathing circuit tubing 11 in an expiratory limb in order
to superheat the breathing gas at the downstream end 10B in the breathing conduit
12 so as to reduce or prevent rain out near the inlet of the ventilator. The straight
upstream portion 52 of the wire may be located within the breathing circuit tubing
of the expiratory limb such that it does not enter a patient interface connector 60.
Similarly, the folded downstream portion 54 of the wire 50 may be located within the
breathing circuit tubing of the expiratory limb such that it does not enter a ventilator
interface connector 70. An attachment end 56 of the heated wire 50 may be coupled
to an electrical connector and/or a power source having electrical components that
direct power through the heater wire 50 in order to heat it. The attachment end 56
may extend through the ventilator interface connector 70 from the folded downstream
portion 54, as shown in FIG. 8A.
[0052] Superheating the breathing gas at the downstream end 10B of the breathing circuit
tubing 11 insures that the breathing gas exits the circuit 11 at a temperature much
farther away from the dewpoint than the temperature of the breathing gas at the upstream
end 10A of the tubing 11. Thus, the heated wire 50 is able to prevent or reduce moisture
accumulation in expiratory filters, expiratory cartridges, expiratory flow sensors,
or any other components located downstream from the expiratory limb. Further, such
a variable temperature profile of the heated wire 50 assists in managing the amount
of moisture that occurs within the expiratory limb itself by cooling the breathing
gas in the upstream end 10A of the tubing 11 and thus forcing more condensate removal
from the circuit 11.
[0053] Turning to FIG. 2, a schematic cross-sectional view illustrating the apparatus of
FIG. 1 is shown. As shown in FIG. 2, the dry gas conduit 14 may be an annular flow
space which is concentric with breathing gas conduit 12. The breathing circuit tubing
11 may be formed by an inner tube 20 defining the breathing gas conduit 12, and the
dry gas conduit 14 is formed by an outer sleeve or tube 22 surrounding the inner tube
20, the dry gas conduit 14 thereby being defined as an annular flow conduit 24 defined
between the inner tube 20 and outer tube 22. One, or both, of the inner tube 20 and
the outer tube 22 may be corrugated. Alternatively, the inner tube 20 could define
the dry gas conduit 14 and the annular space 24 between the inner and outer tubes
20, 22 could be the breathing gas conduit 12. In the present disclosure, a sufficient
stretch of surface area is shared along the breathing circuit tubing 11 between the
breathing gas conduit 12 and dry gas conduit 14 such that a moisture and humidity
transmission pathway is enabled between the two conduits, as further described below.
A portion of the heated wire 50 may be provided within the breathing gas conduit 12.
In some implementations, a portion of the heated wire 50 may be provided within a
lumen of the inner tube 20. In other implementations, a portion of the heated wire
50 may be embedded within a wall of the inner tube 20.
[0054] The apparatus 10 further comprises a moisture transmission pathway between the breathing
gas conduit 12 and the dry gas conduit 14, such that humidity in the flow of breathing
gas (B) is lowered and moisture in the flow of breathing gas (B) is transferred to
the dry gas flow (D). As shown in FIG. 2, such a moisture transmission pathway (T)
occurs between the higher humidity breathing gases in conduit 12 and the lower humidity
dry gas flow in conduit 14. A user can increase or decrease the level of dry gas supplied
to the circuit to manage or remove the condensate which may be transmitted from the
breathing gas (B) to the dry gas conduit. The moisture level thus may be reduced from
within the breathing gas flow and transferred to the dry gas flow. The breathing circuit
tubing 11 may comprise a permeable portion along part or all of the inner conduit
20, which is permeable to water vapor but impermeable to liquid water, such that the
moisture transmission pathway (T) is provided by such permeable portion of the breathing
circuit tubing. The materials comprising the permeable portion are water vapor breathable
and allow passage of water vapor.
[0055] The permeable portion may form some or all of the walls of the breathing gas conduit
12, such as inner tube 20, and may include a single, or composite outer, layer of
water vapor breathable medium. In one implementation, an additional wicking layer
may be added to the permeable portion. Such a wicking layer may be disposed as an
inner layer of inner conduit 20 and configured to be in contact with breathing gas
flow (B) inside said conduit. Such a wicking layer may be made of wicking material
which allows for adsorption and/or absorption of both moisture and water in any phase,
gas or liquid, using a capillary action, while the outer layer of water vapor breathable
medium permits the passage of water vapor only and not liquid water.
[0056] Examples of wicking material in the inner layer are a knit or nonwoven cloth or fabric,
and can be synthetic and made of polyester, polyester and polypropylene blends, nylon,
polyethylene or paper, and can be microfilaments or microfiber material such as Evolon
® brand fabric material made by Freudenberg & Co. KG. A particular example of wicking
material would be a nonwoven material of 70% polypropylene and 30% polyester. Another
example of the wicking material can be Evolon
® brand fabric material having a weight of 60 or 80 grams per square meter. Examples
of the outer layer of water vapor breathable medium are Sympatex
® brand water vapor permeable membranes made of polymers made by Sympatex Technologies,
including monolithic hydrophilic polyester ester membrane, including, as one example,
a 12 micron thick membrane.
[0057] In another implementation of the present disclosure, the breathing circuit tubing
11 may comprise one or more small openings or perforations in inner tube 20 which
permit drainage of liquid waterfrom the breathing gas conduit 12 to the dry gas conduit
14, such that another, different, moisture transmission pathway T1 is provided by
such one or more perforations between the breathing gas flow (B) and dry gas flow
(D), as shown in FIG. 2.
[0058] FIG. 3 is a schematic cross-sectional view illustrating the apparatus of FIG. 1 according
to one or more additional embodiments of the present disclosure. In FIG. 3, a dividing
wall 30 is formed between the inner tube 20 and outer tube 22 in the annular space
between said tubes to divide the dry gas conduit into a first, delivery conduit 32
for flow of dry gas (D1) from a first end of the apparatus 10 to a second end of the
apparatus, and a second, return conduit 34 for flow of dry gas (D2) from the second
end of the apparatus to the first end of the apparatus 10. In this way, the dry gas
flow may be re-used, such as, for example, in a closed loop system. A portion of the
heated wire 50 may be provided within the breathing gas conduit 12, and more particularly,
may be provided within a lumen of the inner tube 20. In another implementation, a
portion of the heated wire may be embedded within a wall of the inner tube 20. One
or more moisture transmission pathways may be defined between breathing gas flow conduit
(B) and one or both of dry gas conduits (D1, D2), including a permeable membrane incorporated
into inner tube 20 as described herein, or a series of perforations in the inner tube
20, as also described herein. The permeable membrane is permeable to water vapor but
impermeable to liquid water and may include one or more layers, including a wicking
layer, as described above.
[0059] FIG. 4 is a schematic cross-sectional view of an apparatus 100 incorporated into
or as part of a breathing gas circuit in accordance with one or more additional embodiments
of the present disclosure. In FIG. 4, a breathing circuit tubing 101 defines a breathing
gas conduit 112 for a flow of breathing gas flow (B) therein, said breathing gas having
a first humidity level and a level of moisture therein, and a dry gas conduit 114
is formed adjacent at least a portion of the breathing gas conduit112 for a dry gas
flow (D) therein, said dry gas flow configured to have a second humidity level lower
than the first humidity level. In FIG. 4, a moisture transmission pathway (T2) is
provided between the breathing gas conduit 112 and the dry gas conduit 114, such that
humidity in the flow of breathing gas (B) is lowered and moisture in the flow of breathing
gas (B) is transferred to the dry gas flow (D). In FIG. 4, the breathing gas conduit
112 and dry gas conduit 114 share a common dividing wall 130, the common dividing
wall 130 having the moisture transmission pathway (T2), which may be provided by a
permeable membrane incorporated into part or all of the dividing wall 130, as described
herein, or a series of perforations in part or all of the dividing wall 130, as also
described herein. The permeable membrane is permeable to water vapor but impermeable
to liquid water and may include one or more layers, including a wicking layer, as
described above. A portion of the heated wire 50 may be provided within the breathing
gas conduit 112.
[0060] Fig. 5 is a schematic view illustrating another implementation of the moisture removal
and condensation and humidity management apparatus 10' for a breathing circuit according
to the present disclosure. The dry gas conduit 14 may include a closed end 16 on the
upstream end 10A, and an outlet 18 at the downstream end 10B. The outlet 18 may be
in communication with a source of suction and/or the ambient environment around the
apparatus 10. In some embodiments, the outlet 18 may be in communication with a filter
19.
[0061] The apparatus 10' may include a feeding conduit 25 configured to supply dry gas to
the dry gas conduit 14. As depicted in FIG. 5, the feeding conduit 25 may include
an inlet 26 at the downstream end 10B of the apparatus 10, and an outlet 28 at the
first end 10B of the apparatus 10', such that the feeding conduit 25 extends through
at least a portion of the dry gas conduit 14. For example, the feeding conduit 25
may extend greater than half of the length of the dry gas conduit 14. In some embodiments,
the feeding conduit 25 may extend substantially the entire length of the dry gas conduit
14. Advantageously, the feeding conduit 25 may allow the inlet 26 and outlet 18 for
dry gas of the apparatus 10' to be further away from the patient, reducing any potential
safety risk to the patient. This prevents any potential sparking caused by the ingress
and egress of the dry gas proximate the patient. Furthermore, by providing the outlet
18 of the feeding conduit 25 at the upstream end 10A within the dry gas conduit 14,
the apparatus 10' may provide a large surface area for moisture/humidity transfer
from the breathing gas conduit 12 to the dry gas conduit 14. In some embodiments,
a flow or volume control element 30, such as a valve, may be connected to the inlet
26 of the feeding conduit 25 and configured to control the flow of dry gas into the
feeding conduit 25.
[0062] The breathing circuit tubing 11 of the apparatus 10' may further comprise at least
one heating element, such as a heated wire 50 as previously described. The heated
wire 50 has a length extending from an upstream end 10A of the breathing circuit tubing
11 to a downstream end 10B of the breathing circuit tubing 11. The heated wire 50
is configured to provide heat to the flow of breathing gas such that the breathing
gas at the downstream end 10B of the breathing circuit tubing 11 is superheated, or
heated to a higher temperature than the breathing gas at the upstream end 10A of the
breathing circuit tubing 11. The heated wire 50 comprises an upstream portion 52 corresponding
to the upstream end 10A of the breathing circuit tubing 11, and a downstream portion
54 corresponding to the downstream end 10B of the breathing circuit tubing 11. The
heated wire 50 is configured to have a variable thermal distribution profile in which
the downstream end 10B of the breathing circuit tubing 11 is heated more than the
upstream end 10A of the breathing circuit tubing 11 by folding the downstream portion
54 of the heated wire 50 back over itself.
[0063] FIG. 6 is a schematic cross-sectional view illustrating the apparatus 10' of FIG.
5. The dry gas conduit 14 may be an annular flow space which is concentric with breathing
gas conduit 12. For example, the breathing circuit tubing 11 may include an inner
tube 20 defining the breathing gas conduit 12, and an outer sleeve or tube 22 surrounding
the inner tube 20 and defining the dry gas conduit 14. The dry gas conduit 14 thereby
may include an annular conduit 24 defined between the inner tube 20 and outer tube
22. Alternatively, in some embodiments, the inner tube 20 may define the dry gas conduit
14 and the annular conduit 24 between the inner tube 20 and the outer tube 22 may
include the breathing gas conduit 12. As depicted, the feeding conduit 25 may extend
through the dry gas conduit 14. Further, a portion of the heated wire 50 may be provided
within the breathing gas conduit 12. In some implementations, a portion of the heated
wire 50 may be provided within a lumen of the inner tube 20. In other implementations,
a portion of the heated wire 50 may be embedded within a wall of the inner tube 20.
One or both, of the inner tube 20 and the outer tube 22 may be corrugated. In the
present disclosure, a moisture transmission pathway may be positioned between the
breathing gas conduit 12 and the dry gas conduit 14. For example, a sufficient stretch
of surface area of the breathing circuit tubing 11 may be shared between the breathing
gas conduit 12 and the dry gas conduit 14 enabling transfer of moisture between the
flow of breathing gas (B) and the flow of dry gas (D), as further described below.
[0064] The present disclosure provides one or more embodiments which provide the moisture
transmission pathway between the breathing gas conduit 12 and the dry gas conduit
14, lowering the moisture and/or humidity in the flow of breathing gas (B) by transferring
the moisture and/or humidity to the dry gas flow (D). For example, in FIG. 6, the
moisture transmission pathway (T) may occur between the higher humidity breathing
gases in breathing gas conduit 12 and the lower humidity dry gas flow in dry gas conduit
14. A user may increase or decrease the level of dry gas supplied to the dry gas conduit
14 to manage or remove the condensate which may be transferred from the breathing
gas (B) to the dry gas (D). The moisture level thus may be reduced from within the
breathing gas flow (B) and transferred to the dry gas flow (D).
[0065] As further shown in FIG. 6, the breathing circuit tubing 11 may include a permeable
portion or membrane (as depicted in broken lines) along part or all of the inner tube
32. The permeable portion may be permeable to water vapor but impermeable to liquid
water, such that the moisture transmission pathway (T) is provided by the permeable
portion of the breathing circuit tubing 11. The permeable portion may include one
or more materials that are water vapor breathable and allow passage of water vapor,
as is well known to those of ordinary skill in the art. The permeable portion may
form some or all of the walls of the breathing gas conduit 12 (e.g., inner tube 20)
and may include a single, or composite layer of water vapor breathable medium. For
example, in some embodiments, the permeable portion may include an inner layer and
an outer layer having different permeability/wicking properties. A first wicking layer
may be provided as an inner layer of inner tube 20 and may be configured to contact
the breathing gas flow (B) inside of the inner tube 20. The wicking layer may be made
of one or more wicking materials that allow for adsorption and/or absorption of moisture
and/or water in any phase (e.g., gas and/or liquid), for example, through capillary
action. The permeable portion may also include an outer layer of water vapor breathable
material that permits the passage of water vapor only, while not permitting passage
of liquid water.
[0066] In some embodiments, the breathing circuit tubing 11 may, additionally or alternatively,
include one or more small openings or perforations in the inner tube 20 which permit
drainage of liquid water from the breathing gas conduit 12 to the dry gas conduit
14. Therefore, a second moisture transmission pathway T1 may be provided by the one
or more perforations between the breathing gas flow (B) and dry gas flow (D), as shown
in FIG. 6. Although, the transmission pathway (T) and the second transmission pathway
(T1) are depicted in the same cross-sectional view of FIG. 6, the transmission pathways
(T, T1) may be provided in the alternative and/or at different portions along the
breathing circuit tubing 11. The transmission pathway (T) and the second transmission
pathway (T1) may be provided in a gradient along the length of the inner tube 20.
For example, in some embodiments, the inner tube 20 may have more permeability at
the upstream end 10A than the downstream end 10B, increasing moisture transfer when
the breathing gas enters the breathing gas conduit 12 reducing condensation in remaining
length of the inner tube 20. In some embodiments, the inner tube 20 may have more
permeability on the downstream end 10B than the upstream end 10A, increasing moisture
transfer when the moisture of the breathing gas is lower.
[0067] FIG. 7 is a schematic cross-sectional view of an apparatus 100' incorporated into
or as part of a breathing gas circuit in accordance with one or more additional embodiments
of the present disclosure and depicting a breathing circuit tubing 101 having a tube
122 including a breathing gas conduit 112 configured to receive a flow of breathing
gas flow (B). The breathing gas may have a first humidity level and a first level
of moisture. The tube 122 may also include a dry gas conduit 114 configured to receive
a dry gas flow (D). The dry gas flow may have a second humidity level lower than the
first humidity level, and/or a second level of moisture lower than the first level
of moisture. The dry gas conduit 114 may be adjacent to at least a portion of the
breathing gas conduit 112. A feeding conduit 124 may extend through the dry gas conduit
114. A portion of the heated wire 50 may extend through the breathing gas conduit
112.
[0068] As further depicted in FIG. 7, a moisture transmission pathway (T2) may be provided
between the breathing gas conduit 112 and the dry gas conduit 114, such that moisture
and/or humidity may be transferred from the breathing gas (B) to the dry gas flow
(D) based on the differential humidity/moisture levels. Further, the breathing gas
conduit 112 and dry gas conduit 114 may share a common dividing wall 130 providing
the moisture transmission pathway (T2). For example, the moisture transmission pathway
(T2) may be provided by a permeable portion or membrane (depicted as broken lines)
incorporated into part or all of the dividing wall 130, as described herein, or a
series of perforations in part or all of the dividing wall 130, as also described
herein. The permeable portion may be permeable to water vapor but impermeable to liquid
water and may include one or more layers, including a wicking layer, as described
above.
[0069] In one or more embodiments of the present disclosure, the dry gas conduit 14, 114
may be closed to ambient air around the apparatus. The dry gas conduit 14, 114 therefore
can be configured to provide a stream of dry gas flow at humidity levels which are
significantly lower than the humidity in the breathing gas conduit 12, 112. In some
embodiments, the apparatus 10 may include one or more sensors configured to detect
the first humidity level of the breathing gas conduit 12 and the second humidity level
of the dry gas conduit 14.
[0070] Referring to FIGS. 9-11, the heated wire 50 may comprise two wire strand portions
50A, 50B that are connected to each other at the upstream portion 52 of the heated
wire. The downstream portion 54 of the heated wire 50 may be folded back upon itself
such that six wire strand portions are formed at the downstream end 54 for superheating
the breathing gas. Breathing gas heated by the downstream portion 54 of the heated
wire 50 has a lower absolute humidity and a higher temperature than breathing gas
heated by the upstream portion 52 of the wire 50.
[0071] Heating the breathing gas to a greater temperature at the downstream end of an expiratory
limb increases the temperature differential between the dew point temperature and
the actual air temperature. Breathing gas that exits the breathing circuit cool in
components such as unheated expiratory filters that are exposed to ambient air conditions,
and thus raising the temperature at the downstream end allows for the breathing gas
to cool and prevents water vapor from condensing on cool surfaces. Thus, less heating
of the breathing gas at the upstream end 10A of the expiratory limb results in a cooler
temperature at that point in the breathing circuit, which correspondingly allows for
more condensation that permeates through the wall of the circuit, thus reducing the
absolute humidity of the breathing gas as will be described in detail below.
[0072] The present disclosure therefore uses the differential between humidity or moisture
content between the respective flows in the breathing gas conduit 12, 112, compared
to the dry gas conduit 14, 114, which allows for greater extraction or diffusion of
moisture and humidity from the breathing gas flow to the dry gas flow, which is further
assisted by the convective action of the dry gas flow along the common surface area
shared between the breathing gas conduit 12, 112, and the dry gas conduit 14, 114,
such as along inner tube 20, or common dividing wall 130.
[0073] Referring to FIG. 12, another implementation of a moisture removal and condensation
and humidity management apparatus for a breathing circuit arranged between a patient
and a ventilator is shown. This apparatus comprises breathing circuit tube 120 that
defines a breathing gas conduit configured to receive a flow of breathing gas. A patient
interface connector 160 is connected to one end of the tube 120, and a ventilator
interface connector 170 is connected to an opposite end of the tube. The tube may
comprise a moisture transmission pathway configured to enable transfer of moisture
from the breathing gas conduit directly to ambient air. A heating element, such as
at least one heated wire 50 having a length extending from an upstream end of the
breathing circuit tubing 120 to a downstream end of the breathing circuit tubing 120,
may be provided within the lumen of the tube 120 or may be embedded within a wall
of the tube 120. Various types of heated wires and heated wire configurations, as
previously described, above may be used. The at least one heated wire 50 is configured
to provide heat to the flow of breathing gas such that the breathing gas at the downstream
end is heated to a higher temperature than the breathing gas at the upstream end.
The moisture transmission pathway comprises a permeable membrane that is permeable
to water vapor but impermeable to liquid water. Further, the permeable membrane forms
a portion of said breathing circuit tubing 120. The breathing circuit tubing 120 may
be an expiratory limb of the breathing circuit such that the upstream end of the breathing
circuit tubing is located proximate to a patient and the downstream end of the breathing
circuit tubing is located proximate to the ventilator.
[0074] The present disclosure therefore provides a superior way of removing moisture or
water vapor from a breathing circuit, which is better than water traps or other fluid
dissipation or moisture removal devices known in the prior art. The result of the
inventive apparatus disclosed is that when the apparatus is coupled with a breathing
circuit, rainout or condensation in the breathing tube and collection of water within
the breathing circuit is significantly reduced. The present disclosure therefore allows
for removal of the collected condensate on the inner walls of a breathing gas conduit,
which may then be transported away through an outer sleeve or tube which provides
the dry gas conduit. The heated wire of the apparatus assists with removal of excess
condensation from an expiratory limb and from collecting on components that receive
the breathing gas flow, such as a ventilator and an expiratory filter, after exiting
the expiratory limb.
[0075] The outer tube of the apparatus can also protect the inner tube from damage or puncture,
which can be especially vulnerable to damage or puncture when it incorporates a permeable
membrane and/or perforations as described herein. To provide additional strength and
puncture protection, an additional outer cover structure can be added to the apparatus.
The present disclosure therefore represents an improvement over the known prior art
by providing the benefits of: (a) reducing or eliminating user management of condensate
levels within a breathing circuit, and/or (b) reducing the humidity output from an
expiratory limb of a breathing circuit to reduce the collection of condensate which
may be collected in the ventilator.
[0076] The many features and advantages of the disclosure are apparent from the detailed
specification, and thus, it is intended by the appended claims to cover all such features
and advantages of the disclosure which fall within the true spirit and scope of the
disclosure. Further, since numerous modifications and variations will readily occur
to those skilled in the art, it is not desired to limit the disclosure to the exact
construction and operation illustrated and described, and accordingly, all suitable
modifications and equivalents may be resorted to, falling within the scope of the
disclosure.
[0077] Aspects of the invention are disclosed in the following numbered clauses:
- 1. A moisture removal and condensation and humidity management apparatus for a breathing
circuit arranged between a patient and a ventilator, the apparatus comprising:
a breathing circuit tubing defining a breathing gas conduit and a dry gas conduit
adjacent at least a portion of the breathing gas conduit, the breathing gas conduit
configured to receive a flow of breathing gas having a first humidity level and the
dry gas conduit configured to receive a flow of dry gas having a second humidity level
lower than the first humidity level;
at least one heated wire having a length extending from an upstream end of the breathing
circuit tubing to a downstream end of the breathing circuit tubing, the at least one
heated wire configured to provide heat to the flow of breathing gas such that the
breathing gas at the downstream end is heated to a higher temperature than the breathing
gas at the upstream end;
a moisture transmission pathway between the breathing gas conduit and the dry gas
conduit and configured to enable transfer of moisture from the breathing gas to the
dry gas based on a humidity differential between the first and second humidity levels.
- 2. The apparatus of clause 1, wherein the moisture transmission pathway comprises
a permeable membrane that is permeable to water vapor but impermeable to liquid water.
- 3. The apparatus of any one of clauses 1-2, wherein the permeable membrane forms a
portion of said breathing circuit tubing.
- 4. The apparatus of any one of clauses 1-3, wherein a portion of the heated wire is
provided within the breathing gas conduit.
- 5. The apparatus of any one of clauses 1-4, wherein the heated wire comprises two
wire strand portions connected to each other at the upstream end of the breathing
circuit tubing proximate to the patient.
- 6. The apparatus of any one of clauses 1-5, wherein a portion of the heated wire is
folded back upon itself at the downstream end proximate to the ventilator.
- 7. The apparatus of clause 6, wherein the portion of the heated wire folded back upon
itself is generally S-shaped.
- 8. The apparatus of any one of clauses 1-5, wherein a portion of the heated wire is
folded over itself at the downstream end of the breathing circuit tubing proximate
to the ventilator such that six wire strand portions are formed at the downstream
end.
- 9. The apparatus of any one of clauses 1-5, wherein the heated wire comprises a variable
resistance such that a downstream portion of the heated wire can be heated more than
an upstream portion of the wire.
- 10. The apparatus of any one of clauses 1-4, wherein the heated wire comprises coils
having a pitch spacing between adjacent coils at an upstream portion of the wire that
are different than a pitch spacing between adjacent coils at a downstream portion
of the wire.
- 11. The apparatus of any one of clauses 1-10, wherein the breathing circuit tubing
is formed by an inner tube defining the breathing gas conduit, and the dry gas conduit
is formed by an outer tube surrounding the inner tube, the dry gas conduit being defined
by an annular flow conduit defined between the inner tube and the outer tube.
- 12. The apparatus of clause 11, further comprising a dividing wall formed between
the inner tube and the outer tube in the annular space to divide the dry gas conduit
into a delivery conduit for flow of dry gas from a first end of the breathing circuit
tubing to a second end of the breathing circuit tubing, and a return conduit for flow
of dry gas from the second end of the breathing circuit tubing to the first end of
the breathing circuit tubing.
- 13. The apparatus of any one of clauses 11-12, wherein a portion of the heated wire
is provided within a lumen of the inner tube.
- 14. The apparatus of any one of clauses 11-12, wherein a portion of the heated wire
is embedded within a wall of the inner tube.
- 15. The apparatus of any one of clauses 1-14, wherein the breathing circuit tubing
is an expiratory limb of the breathing circuit such that the upstream end of the breathing
circuit tubing is located proximate to a patient and the downstream end of the breathing
circuit tubing is located proximate to the ventilator.
- 16. The apparatus of any one of clauses 1-15, further comprising a feeding conduit
extending through at least a portion of the dry gas conduit, the feeding conduit configured
to supply the dry gas into the dry gas conduit.
- 17. The apparatus of clause 16, wherein the feeding conduit includes an inlet at the
downstream end of the breathing circuit tubing.
- 18. The apparatus of clause 17, further comprising a flow control element connected
to the inlet of the feeding conduit and configured to control the flow of the dry
gas into the feeding conduit.
- 19. The apparatus of any one of clauses 16-18, wherein the feeding conduit includes
an outlet at the upstream end of the breathing circuit tubing.
- 20. A moisture removal and condensation and humidity management apparatus for a breathing
circuit arranged between a patient and a ventilator, the apparatus comprising:
a breathing circuit tubing defining a breathing gas conduit configured to receive
a flow of breathing gas;
a moisture transmission pathway configured to enable transfer of moisture from the
breathing gas conduit; and
at least one heated wire having a length extending from an upstream end of the breathing
circuit tubing to a downstream end of the breathing circuit tubing, the at least one
heated wire configured to provide heat to the flow of breathing gas such that the
breathing gas at the downstream end is heated to a higher temperature than the breathing
gas at the upstream end.
- 21. The apparatus of clause 20, wherein the moisture transmission pathway comprises
a permeable membrane that is permeable to water vapor but impermeable to liquid water.
- 22. The apparatus of any one of clauses 20-21, wherein the permeable membrane forms
a portion of said breathing circuit tubing.
- 23. The apparatus of any one of clauses 20-22, wherein a portion of the heated wire
is provided within the breathing gas conduit.
- 24. The apparatus of any one of clauses 20-23, wherein the heated wire comprises two
wire strand portions connected to each other at the upstream end of the breathing
circuit tubing proximate to the patient.
- 25. The apparatus of any one of clauses 20-24, wherein a portion of the heated wire
is folded back upon itself at the downstream end proximate to the ventilator.
- 26. The apparatus of clause 25, wherein the portion of the heated wire folded back
upon itself is generally S-shaped.
- 27. The apparatus of any one of clauses 20-24, wherein a portion of the heated wire
is folded over itself at the downstream end of the breathing circuit tubing proximate
to the ventilator such that six wire strand portions are formed at the downstream
end.
- 28. The apparatus of any one of clauses 20-24, wherein the heated wire comprises a
variable resistance such that a downstream portion of the heated wire can be heated
more than an upstream portion of the wire.
- 29. The apparatus of any one of clauses 20-24, wherein the heated wire comprises coils
having a pitch spacing between adjacent coils at an upstream portion of the wire that
are different than a pitch spacing between adjacent coils at a downstream portion
of the wire.
- 30. The apparatus of any one of clauses 20-29, wherein the breathing circuit tubing
is formed by a tube defining the breathing gas conduit.
- 31. The apparatus of clause 30, wherein a portion of the heated wire is provided within
a lumen of the tube.
- 32. The apparatus of clause 30, wherein a portion of the heated wire is embedded within
a wall of the tube.
- 33. The apparatus of any one of clauses 20-32, wherein the breathing circuit tubing
is an expiratory limb of the breathing circuit such that the upstream end of the breathing
circuit tubing is located proximate to a patient and the downstream end of the breathing
circuit tubing is located proximate to the ventilator.
- 34. A method of removing moisture and controlling condensation and humidity in a breathing
circuit, the method comprising:
providing an apparatus as claimed in any one of clauses 1-33;
receiving the flow of breathing gas from the patient into the breathing gas conduit
of the breathing circuit tubing;
receiving the flow of dry gas having into the dry gas conduit of the breathing circuit
tubing for removing moisture from the breathing gas conduit;
heating the at least one heated wire having a portion provided in the breathing gas
conduit such that the flow of breathing gas at the downstream end of the breathing
circuit tubing is heated to a higher temperature than the flow of breathing gas at
the upstream end of the breathing circuit tubing thereby reducing or preventing condensation
at the downstream end proximate to a ventilator;
transferring moisture from the breathing gas conduit to the dry gas conduit through
the moisture transmission pathway.
1. An apparatus (10) comprising:
a breathing circuit tubing (11) including:
a breathing gas conduit (12) that directs a flow of breathing gas in a first direction
from an upstream end (10A) of the apparatus (10) to a downstream end (10B) of the
apparatus (10); and
a dry gas conduit (14) that directs a dry gas flow; and
a moisture transmission pathway between the breathing gas conduit (12) and the dry
gas conduit (14) that lowers the humidity of the breathing gas by transferring the
humidity to the dry gas flow; and
a heated wire (50) that is configured to heat the downstream end (10B) of the apparatus
(10) more than the upstream end (10A) of the apparatus (10).
2. The apparatus (10) of claim 1, wherein at least one of:
a portion of the heated wire (50) is provided within the breathing gas conduit (12);
or
a portion of the heated wire (50) is embedded within a wall of the beathing circuit
tubing (11).
3. The apparatus (10) of claim 1, wherein a portion of the heated wire (50) is folded
over itself.
4. The apparatus (10) of claim 1, wherein the portion of the heated wire (50) that is
folded over itself includes six wire strand portions.
5. The apparatus (10) of claim 1, wherein the heated wire (50) includes:
an upstream portion (52) corresponding to the upstream end (10A) of the apparatus
(10); and
a downstream portion (54) corresponding to the downstream end (10B) of the apparatus
(10); and
wherein the downstream portion (54) of the heated wire (50) is configured to be heated
more than the upstream portion (52) of the heated wire (50).
6. The apparatus (10) of claim 1, wherein the heated wire (50) is configured to provide
heat to the flow of breathing gas, such that the breathing gas at the downstream end
(10B) is superheated and is heated to a higher temperature than the breathing gas
at the upstream end (10A)
7. The apparatus (10) of claim 1, wherein at least one of:
the heated wire (50) is folded over itself at the downstream end (10B) of the apparatus
(10);
the heated wire (50) includes a variable resistance, such that a downstream portion
(54) of the heated wire (50) can be heated more than an upstream portion (52) of the
heated wire (50); or
the heated wire (50) includes coils (50A) have a pitch spacing between adjacent coils
at an upstream portion (52A) of the heated wire (50) that is different than a pitch
spacing between adjacent coils at a downstream portion (54A) of the heated wire (50).
8. The apparatus (10) of claim 1, wherein the breathing circuit tubing (11) includes:
an inner tube (20) that defines the breathing gas conduit (12);
an outer tube (22) concentric with the inner tube (20); and
an annular space (24) between the inner tube (20) and the outer tube (22), the annular
space (24) defining the dry gas conduit (14).
9. The apparatus (10) of claim 8, wherein at least one of the inner tube (20) or the
outer tube (22) is a corrugated tube.
10. The apparatus (10) of claim 8, further comprising a feeding conduit (25) extending
through at least a portion of the dry gas conduit (14), the feeding conduit (25) configured
to supply dry gas into the dry gas conduit (14).
11. The apparatus (10) of claim 10, wherein the feeding conduit (25) extends through greater
than half of a length of the dry gas conduit (14).
12. The apparatus (10) of claim 11, wherein the feeding conduit (25) includes an inlet
(26) at the downstream end (10B) of the apparatus (10); and wherein the dry gas conduit
(14) includes an outlet (18) at the downstream end (10B) of the apparatus (10).
13. The apparatus (10) of claim 1, further comprising a common dividing wall (130), the
breathing gas conduit (12) and the dry gas conduit (14) sharing the common dividing
wall (130); and wherein the common dividing wall (130) includes the moisture transmission
pathway.
14. The apparatus (10) of claim 1, wherein the breathing circuit tubing (11) includes
a permeable portion that defines the moisture transmission pathway; and wherein the
permeable portion is permeable to water vapor but impermeable to liquid water.
15. A method of removing moisture and controlling condensation and humidity in a breathing
circuit, the method comprising:
providing the apparatus of claim 1;
receiving the flow of breathing gas from a patient into the breathing gas conduit
(12) of the breathing circuit tubing (11) of the apparatus (10);
receiving the dry gas flow into the dry gas conduit (14) of the breathing circuit
tubing (11) for removing moisture from the breathing gas conduit (12);
heating the heated wire (50); and
transferring moisture from the breathing gas conduit (12) to the dry gas conduit (14)
through the moisture transmission pathway.